Book an Intro Dive

To book a dive, fill out the following information. You will receive and email confirming your booking request and we will contact you by phone or email to confirm your booking. If we do not contact you within 48 hours, please call the shop to confirm.

Diver must be at least ten years old and in good medical health. If you are unsure about the health requirements please read the medical history questionnaire (PDF) or give us a call.

Contact Information

First and Last Name*
Email address*
Primary Phone Number*
Secondary Phone Number
Where are you staying on Kauai?
When do you arrive on Kauai?	(mm/dd/yyyy)
When do you leave Kauai?	(mm/dd/yyyy)

Dive Information

How many divers in your group?*
Dive 1: *	Date: (mm/dd/yyyy)
Dive 2:	Date: (mm/dd/yyyy)
Dive 3:	Date: (mm/dd/yyyy)
Dive 4:	Date: (mm/dd/yyyy)